| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,436 |
3,885 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,417 |
1,261 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
93 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
419 |
403 |
$804.40 |
| 90686 |
|
33 |
33 |
$381.54 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
28 |
24 |
$107.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
42 |
$0.00 |
| 99307 |
|
25 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
35 |
35 |
$0.00 |